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Effect of Internet Therapeutic Intervention on A1C Levels in Patients With Type 2 Diabetes Treated With Insulin.

by: Tildesley, Hugh D.; Mazanderani, Adel B.; Ross, Stuart A.

Publication date: 2010-05-12

Collection: pubmed; journals

Contributor: American Diabetes Association

Language: English

Volume: 33

This article is from Diabetes Care, volume 33.

Abstract

OBJECTIVE: To assess the effect of an Internet-based glucose monitoring system (IBGMS) on A1C levels in patients with type 2 diabetes treated with insulin. RESEARCH DESIGN AND METHODS: This trial involved 50 patients randomly assigned to receive either conventional treatment alone or with additional follow-up through an IBGMS for 6 months. Patients randomized to the intervention group uploaded blood glucose readings every 2 weeks to a secure Web site for review and receipt of feedback from their endocrinologist. A1C and laboratory test results were collected at 0, 3, and 6 months. RESULTS: The baseline parameters were not significantly different. Over a 6-month follow-up, A1C dropped from 8.8 to 7.6% (P < 0.001) in the intervention group compared with 8.5 to 8.4% (P = 0.51) in the control group. CONCLUSIONS: The use of IBGMS significantly improved A1C levels in patients with type 2 diabetes treated with insulin.